Impairment of Auditory Acuity§ 4.87Updated
Rating criteria

VA Diagnostic Code 6200Chronic suppurative otitis media, mastoiditis, or cholesteatoma (or any combination):

A single 10% rating under § 4.87. Here is what the VA requires for it.

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  1. 10%

    During suppuration, or with aural polyps

From the schedule

Notes on this code

These notes are part of the regulation. They change how the levels above are applied.

  • Note: Evaluate hearing impairment, and complications such as labyrinthitis, tinnitus, facial nerve paralysis, or bone loss of skull, separately.

Chronic Suppurative Otitis Media, Mastoiditis, or Cholesteatoma (VA Diagnostic Code 6200)

Body system: Impairment of Auditory Acuity — 38 CFR § 4.87

Understanding the Condition

Diagnostic Code 6200 covers chronic suppurative otitis media, mastoiditis, or cholesteatoma — or any combination of these conditions. These are chronic ear conditions affecting the middle ear and surrounding structures.

Available Rating Level

Under Diagnostic Code 6200, the VA provides the following rating:

RatingWhat It Reflects
10%During suppuration, or with aural polyps

What the VA Looks For

When rating this condition, the VA considers whether there is active suppuration (discharge) or the presence of aural polyps, which supports the 10% rating.

Related Conditions Rated Separately

Per VA guidance, certain associated conditions are evaluated separately rather than folded into this rating. According to the note for this diagnostic code:

Evaluate hearing impairment, and complications such as labyrinthitis, tinnitus, facial nerve paralysis, or bone loss of skull, separately.

This means that if you experience hearing loss or other listed complications alongside this condition, those may be assessed on their own.


This information is drawn directly from the VA rating schedule for Diagnostic Code 6200. It is provided for general educational purposes and does not guarantee any particular rating or outcome.

These criteria are a rendering of § 4.87, diagnostic code 6200. The official version is the one that governs your rating.

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What next

How to claim this

Knowing the criteria is the first half. Getting your file to show them is the second.

  1. Find your level in the stack

    Read each rung against what your medical records already say. The level your records document today is the one the VA can support today.

  2. Name the gap

    Look at the rung above yours and write down exactly what it asks for that your file does not show yet — a diagnosis, a measurement, a prescribed brace, a doctor’s opinion linking it to service.

  3. Claim it by code

    File under diagnostic code 6200 and attach the evidence for the level you are asking for. Other Impairment of Auditory Acuity codes may cover your secondary conditions.

Find out which rating your evidence supports.

Six reads your records against these exact criteria and tells you what the VA is still missing.

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